Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Julie Lauren Pennetti, ANP-C, RN, CCRN

Individual provider Adult Health Nurse Practitioner · NPI 1629542691

Mrs. Julie Lauren Pennetti, ANP-C, RN, CCRN is a Nurse Practitioner in Long Beach, New York. Qualified in 2018, 8 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

340 W Park Ave
Long Beach, NY 11561-3213
Phone: (855) 605-4837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 308809 (NY)

Record details

NPI number1629542691
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-C , RN , CCRN
Sole proprietorNo
NPI enumeratedJanuary 14, 2019
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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